脐静脉置管联合 PICC 置管在早产儿中的应用

萧慧敏 ^① ,陈 玲,廖艳霞,秦姣红,梁健雁

(广东医科大学附属东莞市厚街医院新生儿科,广东 东莞 523900)

摘要 目的:探讨脐静脉置管联合外周中心静脉置管(PICC)在早产儿中的应用价值。 方法:以 70 例早产患儿作为研究对象,采用随机数字表法将其分为两组。 对照组 35 例采用 PICC 置管,观察组 35 例采用脐静脉置管联合 PICC 置管。 比较两组患儿 PICC 1 次穿刺成功率、住院时间、生长情况以及并发症。 结果:观察组 1 次穿刺成功率 94.29%高于对照组的 77.14%,住院时间短于对照组,患儿恢复出生体重日龄、达足量喂养日龄均短于对照组,住院期间日均体重增长量高于对照组,差异均有统计学意义(P<0.05)。 观察组静脉炎发生率低于对照组,差异有统计学意义(P<0.05)。 结论:脐静脉置管联合 PICC 置管能改善早产儿患者生长状况,促进其快速康复。

关键词: 脐静脉置管;外周静脉中心静脉置管;早产儿

中图分类号:R722.6 文献标志码:A 文章编号:1008-2409(2022)03-045-04

Application of umbilical veinous catheterization combined with PICC to premature infants

XIAO Huimin ① , CHEN Ling, LIAO Yanxia, QIN Jiaohong, LIANG Jianyan. ( Dept. of Neonatology, the Affiliated Houjie Hospital of Guangdong Medical University, Dongguan 523900,China)

Abstract Objective: To investigate the application value of umbilical vein catheterization combined with peripherally inserted central catheter(PICC)in premature infants. Methods: A total of 70 premature infants were selected as study subjects, and were randomized into two groups. PICC was used in 35 premature infants in the control group, while umbilical veinous catheterization combined with PICC was applied to another 35 premature infants in the observation group. The one-time success rate of puncture with PICC, hospital stays, growth status and complications were compared between the two groups. Results: The success rate of one-time puncture in the observation group was 94.29%, which was higher than 77.14% in the control group; the hospital stays were shorter than those in the control group; the days to restore the child’s birth weight and reach sufficient feeding were shorter than those of the control group; and the average daily body weight increased during hospitalization was higher than that of the control group. There was statistical significance between both groups(P<0.05). And he incidence of phlebitis in the observation group was lower than that in the control group, which was of statistical significance(P<0.05). Conclusion: Umbilical veinous catheterization combined with PICC can improve the growth of premature infants, and promote their rapid recovery.

Keywords: umbilical veinous catheterization; peripherally inserted central catheter(PICC); premature infants

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